5
Recruitment and Educational challenges Availability of appropriately educated and academically qualified and interested applicants Use of APEL UG and PG academic routes of the programme Interviewing panel Acknowledging, respecting and working with ‘third’ parties in assessments and discussions

6
Adaptations & Practice Delivered in BSL All-Deaf cohort – peers Adapting materials – IAPT video clips, – Outcome measures – Guided self help materials – Deaf experiences included in teaching and clinical examples – Taking notes while using BSL (eye-contact) – Drawing out an ABC formulation – Alternative ways of delivering support and interventions Use of video summaries at the end of the teaching day

9
Services to people who are Deaf and who have common MH problems Total number of referrals is 431 across all regions, 61% Female, 39% Male Delivering IAPT services in the North West, South Central, North East, East Midlands, South East Coast and Yorkshire & Humber regions. Referral routes are Self referral (45%), GP referrals (19%), Mainstream IAPT Services (15%) with the remainder coming from Social Services, Community Mental Health Teams, Other Independent Sector Mental Health Services etc.. Majority of referral reasons are Mixed Anxiety and Depressive Disorder, Depressive Episode and General Anxiety Disorder with the remainder coming from the various other categories.